Tommy Mislenkov M.D.

NPI 1912103904 - Anesthesiology - 207L00000X

NPI Details
NPI 1912103904
Gender Male
Enumeration Date 06/26/2007
Last Updated 08/12/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
800 LINCOLNWAY
SUITE 301
LA PORTE IN, 46350-3438, US
Phone (219) 324-2229
Fax (219) 324-2229
Business Location
800 LINCOLNWAY
SUITE 301
LA PORTE IN, 46350-3438, US
Phone (219) 324-2229
Fax (219) 324-2229
Toxanomy
Taxonomy Code 207L00000X
License State Indiana
License Number 01061306A
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According to our database, Tommy Mislenkov M.D. NPI is 1912103904, taxonomy code is 207L00000X and license number is 01061306A, license state is located at Indiana. Tommy Mislenkov M.D. physically located at 800 Lincolnway, La Porte IN, 46350-3438. NPI Number Tommy Mislenkov M.D. has the Individual type.

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1912103904 NPI number is provided on an as is basis without warranty of any kind. 1912103904 is maintained by the National Plan & Provider Enumeration System. The contents of Tommy Mislenkov M.D. are for informational purposes only.